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Organization
VARIETY CHILDREN'S HOSPITAL
Active
Organization
VARIETY CHILDREN'S HOSPITAL
Active
Other names
Nicklaus Outpatient Center
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA FRANCE (ADMINISTRATIVE DIRECTOR OF RCM)
(786) 624-5715
Entity
Organization
Contact information
Practice address
11310 LEGACY AVE, PALM BEACH GARDENS, FL 33410-3658
(561) 624-9188
(561) 624-3864
Mailing address
PO BOX 864844, ORLANDO, FL 32886-4851
(786) 624-5876
(786) 624-2688
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
NULL
2085P0229X
Pediatric Radiology Physician
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225400000X
Rehabilitation Practitioner
—
NULL
225400000X
Rehabilitation Practitioner
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/09/2016
Last updated
12/01/2016
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